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CITY' OF ST A.NTH01-Y <br /> DEPARTMENT OF LICENSING <br /> Date: <br /> The following is an application for use of 3.2 beer in City Parks. <br /> FULL NAME OF APPLICANT: b i L(- 4, &AJ(_t[_THV^) <br /> (Must. work in St. Anthony or( ve St. Anthony) <br /> ADDRESS. Z 5-0 -S-—L 4 ti TN G ti � A <br /> AGE: 3 <br /> I certify that I am a resident of St. Anthony or work in the City. <br /> I am esponsible for conduct f his/her group. <br /> .Z <br /> Signature of Applica <br /> NAME OF GROUP:s( <br /> Av'rrr�tiv i61M c c.�SS Re�,�';"� <br /> # IN GROUP: 6 a - a'-�_ <br /> LOCATION- <br /> DATE: fh•R3 HOURS: 2 9/'t <br /> TELEPHONE#: 6 L –72 t-3F3;L <br /> $50.00 CLEAN-UP DEPOSIT. <br /> (You are responsible for Park Clean-up, the deposit will be returned after inspection of the <br /> Park) <br /> RECEIVED BY: 1 <br /> RETURNED: <br />